| NPI | 1588862536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: CA 5089) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 019390) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2022-11-08 |